SHANE FOREE SPEARS PA-C, CCP
NPI 1336119916
Physician Assistant - Surgical in Tyler, TX
About Shane Foree Spears Pa-c, Ccp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE FOREE SPEARS PA-C, CCP (NPI 1336119916) is an individual surgical provider in Tyler, Texas, licensed in Texas (PA15805) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shane Foree Spears Pa-c, Ccp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Medical Center
Acute Care Hospitals · Tacoma, WAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TYLER, TX 75701
TYLER, TX 75701
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shane Spears's NPI number?
The NPI number for Shane Spears is 1336119916. It was assigned to this individual provider in the NPPES registry on January 25, 2006.
Where is Shane Spears located?
Shane Spears practices at 1000 S Beckham Ave, Tyler, TX 75701. The listed phone number is (903) 590-5611.
What is Shane Spears's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Shane Spears enrolled in Medicare?
Yes. Shane Spears is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Shane Spears accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Shane Spears as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Shane Spears affiliated with any hospitals?
According to CMS data, Shane Spears is affiliated with St Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Shane Spears was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shane Foree Spears, PA-C, CCP · NPI 1336119916
Surgical physician in Tyler, Texas. Individual provider, active in the CMS NPPES registry since January 25, 2006.
## Identity
- **NPI:** 1336119916 (Entity type: Individual)
- **Enumerated:** January 25, 2006
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA15805 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 S BECKHAM AVE, Tyler, TX 75701-1908
- **Phone:** (903) 590-5611
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** March 29, 2023
- **Other identifiers:** Medicaid 1060261 (WA); Other 9468232 (WA); Other 0225125 (WA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1336119916) · Data from the CMS NPPES public registry.